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Completed

NCT Number: NCT04669925

COVID-19 Impact on the Lombardy Region's Emergency System

This study has 3 main goals:

* to quantitavely describe the Covid-19 impact on the organization and functioning of the Lombardy's emergency system; * to create statistical model able to predict the flow of patients to the emergency room during the epidemic period and their destination (ex: discharge, hospitalization, death); * to value the impact on the non Covid-19 patients, both for their possibility to receive medical treatment and as an outcome on their health

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Key information

Conditions

Covid19 COVID-19 Coronaviridae Infections Coronavirus Infections Disease Attributes Emergencies Infections Lung Diseases Nidovirales Infections Pathologic Processes Pathological Conditions, Signs and Symptoms Pneumonia Pneumonia, Viral RNA Virus Infections Respiratory Tract Diseases Respiratory Tract Infections Virus Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Ospedale Papa Giovanni XXIII, Bergamo, Italy

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About this study

The aim of this study is to evaluate the impact that Covid-19 had on the Emergency System of Lombardy. For instance, it affected the job organization and the possibility of responding to general health needs.

First of all, the study will consider the calls to the Emergency Medical Service, the number of accesses to the Emergency Department, the waiting time before hospitalization, the ED output home (discharge, hospitalization, death, self-discharge before the end of the visit).

Secondly, a statistical model will be implemented, in order to predict the number of patients in need of hospitalization for each day during the pandemic period. This model could help the re-organization of the hospital itself in case of a new Covid-19 outbreak.

Finally, it will evaluate the impact on non-Covid patients, to see the difference in the mortality trends and their possiblity to be cured in a proper way.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • over 18y

Exclusion criteria

  • none

Treatment and study plan

Primary outcomes

  1. Daily calls to the Emergency System

    Time frame: jan 2020 - dec 2020

    The number of calls to the Lombardy Emergency System will be evaluated daily during the study period

  2. Daily count of Emergency Department visits

    Time frame: jan 2020 - dec 2020

    The number of people accessing to each ED will be evaluated daily

  3. Daily average boarding time

    Time frame: jan 2020 - dec 2020

    The average time between the end of the ED visit and the hospital admission will be measured daily

  4. Outcome at ED discharge

    Time frame: jan 2020 - dec 2020

    Distribution of the ED outcome (home discharge, hospitalization, death, self-discharge before the end of the visit)

  5. Mortality

    Time frame: jan 2020 - dec 2020

    Daily mortality for any cause

Sponsors and collaborators

Lead sponsor

Mario Negri Institute for Pharmacological Research

Other

Registry information

Official study title

Tsunami Project - Description and Prediction of COVID-19 Impact on the Lombardy Region's Emergency System

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Dec 17, 2020
Registry last updated
Jun 7, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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